Job Summary:

Essential Functions:

• Develops collaborative relationships with external customers including maintaining positive communication and transparency.
• Acts independently to ensure contractual and operational requirements are met, aimed to consistently achieve project excellence.
• Conducts advanced evaluations to provide strategic recommendations and advises senior management of project status, contractual compliance, potential risk, and operational efficiencies. 
• Drives project success through effective leadership, guiding and directing project teams by formulating work plans, assigning duties, and coordinating activities to ensure progress on schedule and within budget.
• Develops innovative methods for project processes and deliverables, applying advanced knowledge to adapt to changing needs.
• Facilitates communication and collaboration by conducting advanced meetings, focus groups, and participating in committees (internal and external). 
• Maintains operational efficiency, ensuring contract compliance and timely deliverables by inspecting and installing best-of-class systems.
• Evaluates and modifies schedules or plans based on status reports, mastering project reporting by preparing and submitting written reports, articles, and proposals. 
• Develops and conducts training programs and resources for internal and external customers including content specific to job functions, the specific project, and other topics as requested or deemed necessary.
• Audits and modifies complex processes to enhance service delivery by planning major customer service functions related to state agencies, agencies receiving services, and stakeholders.
• Manages team performance through regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and team development.
• Serve as the primary point of contact between the organization and local, state, and federal law enforcement partners, and external stakeholders. 
• Build and maintain effective working relationships with law enforcement agencies to support collaborative initiatives and operational cooperation. 
• Facilitate information sharing, intelligence exchange, and coordination on cases, incidents, and emerging schemes. 
• Assist agencies with interpretation of organizational and CMS policies, programs, capabilities, and resources. 
• Coordinate Qlarant operations, meetings, briefings, and training events to enhance interagency effectiveness. 
• Provide subject-matter expertise on CMS issues, healthcare fraud trends, and best practices in law enforcement engagement.

Level of Supervision Received:
Functions independently within broad scope of established departmental policies/practices; generally refers specific problems to manager only where clarification of departmental operating policies/procedures may be required.

Education (can be substituted for experience):
Minimum Bachelors Degree (Preference to other designation and education)

Work Experience (can be substituted for education):
15+ years of experience required

Veterans Affair experience preferred 

Certification(s):
Active and current Project Management Professional (PMP), Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Management (CPHM), Certified Case Manager (CCM), Registered Nurse (RN), and/or Certified Fraud Examiner (CFE) preferred